Agency
Childrens Behavioral Health, LLC
Childrens Behavioral Health, LLC was paid $57.23M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 45% of everything it billed.
33Billing provider infoCHILDRENS BEHAVIORAL HEALTH, LLC
JOHNSTOWN, PA 15901
JOHNSTOWN, PA 15901
33aNPI1619949948assigned 02/02/2006
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$57.23M
24GClaims351,068
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Pennsylvania
Rank by total paid#7 of 517
Median peer was paid$1.23M
This provider vs. median46×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,722 | $127K | |
| 2019 | 3,494 | $247K | |
| 2020 | 28,312 | $2.31M | |
| 2021 | 77,220 | $10.01M | |
| 2022 | 76,478 | $12.86M | |
| 2023 | 85,114 | $15.99M | |
| 2024incomplete | 78,728 | $15.68M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 45% | 130,826 | 11,595 | $25.87M |
| H2021 | Community-based wrap-around services, per 15 minutes | 15% | 66,617 | 6,286 | $8.71M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 13% | 41,638 | 15,663 | $7.56M |
| H0032 | Mental health service plan development by non-physician | 11% | 45,830 | 13,339 | $6.08M |
| 97151 | 7.1% | 23,268 | 9,960 | $4.07M | |
| 97156 | 3.7% | 16,399 | 9,791 | $2.10M | |
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 2.7% | 13,552 | 999 | $1.56M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 1.6% | 7,219 | 2,193 | $925K |
| H0046 | Mental health services, not otherwise specified | <1% | 5,162 | 1,547 | $318K |
| H2014 | Skills training and development, per 15 minutes | <1% | 372 | 277 | $13K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 74 | 74 | $12K |
| H0031 | Mental health assessment, by non-physician | <1% | 111 | 111 | $9K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMCQUILLEN, RENEE (ASSISTANT DIRECTOR OF OPERATIONS)